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See a sample rate comparisonCPT 41153 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Tongue And Mouth, Surgery To Remove The Tongue Followed By Reconstruction Of The Mouth Floor And Jaw. The Procedure Involves The Tissues Of The Neck As Well.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 22 - Increased Procedural Services 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $2,101.59 national non-facility rate (2026) · View Medicare rates for 41153 |
| Medicaid Fee Schedule | $1,675.79 median of the 8 states in the free preview · View Medicaid rates for 41153 |
National average reimbursement for CPT 41153 by major payers:
$2,923.04
$3,132.74
$3,387.89
$3,824.63
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CPT 41153
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$2,732.00Published rateDelray Beach Asc, LLC, Delray Beach Surgery Center
$1,049.00Published rateMethodist Endoscopy Center LLC
Methodist Endoscopy Center, LLC
$838.00Published rateNorth Georgia Endoscopy Center Inc
$500.00Published rateNew Mexico Orthopaedic Surgery Center, LLC, New Mexico Surgery Center Orthopaedics
$248.00Published rate
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See a sample payer proposalCPT 41153 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 41153 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 41153 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 41140-CPT | High | Glossectomy; Comple Or Total W//W/O Tracheostomy W/O, Glossectomy; Complete Or Total With Or Without Tracheostomy Without |
| 41150-CPT | High | Surgery On Tongue And Mouth, Surgery To Remove The Tongue Followed By Reconstruction Of The Mouth Floor And Jaw. The Procedure Involves The Tissues Of The Neck As Well. |
| 41153-CPT | High | Surgery On Tongue And Mouth, Surgery To Remove The Tongue Followed By Reconstruction Of The Mouth Floor And Jaw. The Procedure Involves The Tissues Of The Neck As Well. |
| 41155-CPT | High | Surgery On Tongue And Mouth, Surgery To Remove The Tongue Followed By Reconstruction Of The Mouth Floor And Jaw. The Procedure Involves The Tissues Of The Neck As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 41153. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 41153 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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